Clinical manifestations and case management of Ebola haemorrhagic fever caused by a newly identified virus strain, Bundibugyo, Uganda, 2007-2008

A confirmed Ebola haemorrhagic fever (EHF) outbreak in Bundibugyo, Uganda, November 2007-February 2008, was caused by a putative new species (Bundibugyo ebolavirus). It included 93 putative cases, 56 laboratory-confirmed cases, and 37 deaths (CFR = 25%). Study objectives are to describe clinical man...

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Veröffentlicht in:PloS one 2012-12, Vol.7 (12), p.e52986-e52986
Hauptverfasser: Roddy, Paul, Howard, Natasha, Van Kerkhove, Maria D, Lutwama, Julius, Wamala, Joseph, Yoti, Zabulon, Colebunders, Robert, Palma, Pedro Pablo, Sterk, Esther, Jeffs, Benjamin, Van Herp, Michel, Borchert, Matthias
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container_title PloS one
container_volume 7
creator Roddy, Paul
Howard, Natasha
Van Kerkhove, Maria D
Lutwama, Julius
Wamala, Joseph
Yoti, Zabulon
Colebunders, Robert
Palma, Pedro Pablo
Sterk, Esther
Jeffs, Benjamin
Van Herp, Michel
Borchert, Matthias
description A confirmed Ebola haemorrhagic fever (EHF) outbreak in Bundibugyo, Uganda, November 2007-February 2008, was caused by a putative new species (Bundibugyo ebolavirus). It included 93 putative cases, 56 laboratory-confirmed cases, and 37 deaths (CFR = 25%). Study objectives are to describe clinical manifestations and case management for 26 hospitalised laboratory-confirmed EHF patients. Clinical findings are congruous with previously reported EHF infections. The most frequently experienced symptoms were non-bloody diarrhoea (81%), severe headache (81%), and asthenia (77%). Seven patients reported or were observed with haemorrhagic symptoms, six of whom died. Ebola care remains difficult due to the resource-poor setting of outbreaks and the infection-control procedures required. However, quality data collection is essential to evaluate case definitions and therapeutic interventions, and needs improvement in future epidemics. Organizations usually involved in EHF case management have a particular responsibility in this respect.
doi_str_mv 10.1371/journal.pone.0052986
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source Public Library of Science (PLoS) Journals Open Access; MEDLINE; EZB Free E-Journals; DOAJ Directory of Open Access Journals; PubMed Central; Free Full-Text Journals in Chemistry
subjects Adult
Aged
Asthenia
Biology
Case Management
Cohort Studies
Data collection
Departments
Diarrhea
Disease control
Disease Outbreaks - statistics & numerical data
Ebola virus
Ebolavirus
Ebolavirus - classification
Ebolavirus - isolation & purification
Epidemics
Epidemiology
Extremely high frequencies
Fatalities
Female
Fever
Headache
Health aspects
Hemorrhagic fever
Hemorrhagic Fever, Ebola - diagnosis
Hemorrhagic Fever, Ebola - epidemiology
Hemorrhagic Fever, Ebola - therapy
Hemorrhagic Fever, Ebola - virology
Humans
Hygiene
Infection Control - methods
Infections
Infectious diseases
Laboratories
Male
Management
Marburg virus disease
Medical research
Medicine
Middle Aged
New species
Outbreaks
Patients
Therapeutic applications
Uganda - epidemiology
Viral diseases
Viral infections
Viruses
Young Adult
title Clinical manifestations and case management of Ebola haemorrhagic fever caused by a newly identified virus strain, Bundibugyo, Uganda, 2007-2008
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